Individual
SHANTE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 OLD FREDERICK ROAD, ENTRANCE ON HARLEM LN, CATONSVILLE, MD 21228
(443) 300-1963
Mailing address
6631 MAROTT DR, BALTIMORE, MD 21207-6444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06689
MD
225700000X
Massage Therapist
Primary
R03244
MD
Other
Enumeration date
06/06/2024
Last updated
05/13/2026
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